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Why Nursing Research Matters
Increasingly, nursing research is considered essential to the achievement of high-quality patient care and outcomes. In this month's Magnet® Perspectives column, we examine the origins of nursing research, its role in creating the Magnet Recognition Program®, and why a culture of clinical inquiry matters for nurses. This column explores how Magnet hospitals have built upon the foundation of seminal research to advance contemporary standards that address some of the challenges faced by healthcare organizations around the world. We offer strategies for nursing leaders to develop robust research-oriented programs in their o...
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Departments: Magnet® Perspectives Source Type: research

Revisions to the Casey-Fink Graduate Nurse Experience Survey Reflect Current Healthcare Trends
No abstract available (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Departments: Guest Editorial Source Type: research

Prone Team: A Large-Scale Prone Position Initiative During COVID-19 Pandemic
CONCLUSION This quality initiative demonstrated that utilization of a traveling proning team provides efficiency in time to prone. Developing a travel prone team allowed for efficiency in time to prone, supported the ICU clinical teams, and enhanced interdisciplinary collaboration, which is essential during times of crisis. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Articles Source Type: research

Academic-Practice Partnership in Rural Maryland: Opportunities for Advanced Practice Registered Nurse Training and Employment
This case study describes how an innovative, triple-win, academic-practice partnership model can be used to deepen the clinical expertise of advanced practice registered nurse (APRN) students and improve rural Americans' access to quality patient care. It features the experience and strategies used by a school of nursing and a local rural hospital system collaborating to provide clinical experiences for APRN students pursuing doctor of nursing practice degrees. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Articles Source Type: research

Factors That Influence Millennial Generation Nurses' Intention to Stay: An Integrated Literature Review
CONCLUSIONS Millennials have specific expectations for work, and they will leave if these go unmet. Findings from this review provide valuable insight into this generation of nurses to help leaders create appropriate retention strategies. The limited literature on this topic highlights the need for more research. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Articles Source Type: research

Development and Implementation of a Brief Healthcare Professional Support Program Based in Gratitude, Mindfulness, Self-compassion, and Empathy
CONCLUSIONS The GRACE program was feasible and acceptable to deliver, and initial proof-of-concept evidence was supported. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Articles Source Type: research

Transforming Shared Governance: Toward Professional Governance for Nursing
For more than 40 years, shared governance has supported structural empowerment and engaged nurses in their practice. Although progress has been made in advancing nursing ownership of practice through shared governance, mature nursing autonomy has yet to be achieved. It is time to evolve to professional governance, emphasizing accountability, professional obligation, collateral relationships, and decision making. Nurse leaders are provided with historical context and recommendations for effectively leading professional governance in an empowering work culture. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Articles Source Type: research

Factors Associated With Job Satisfaction in Medical Oncology Practices: Results From a Multisite Survey
CONCLUSIONS Although most surveyed clinicians were satisfied, 15% were dissatisfied and reported communication and safety concerns. Leadership efforts to strengthen clinician communication actions and develop positive safety cultures are promising strategies to promote clinician well-being and high-quality cancer care. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Articles Source Type: research

Effect of a Nurse-Led, Patient-Centered, Gratitude Intervention on Patient Hospitalization Experience
CONCLUSIONS Patient perceptions of nurse-led gratitude intervention demonstrated helpfulness and improved hospitalization experience. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Articles Source Type: research

Exploring Strategies to Build Resiliency in Nurses During Work Hours
OBJECTIVE This pilot study investigated increasing nurse resiliency utilizing a toolkit of stress-reducing interventions on medical-surgical units at 4 hospitals. BACKGROUND Resiliency-building activities are time consuming and undertaken outside work hours. Although the activities show a positive impact on resilience, researchers investigated whether similar results could be achieved where nurses experience work stress. METHODS This quasi-experimental pretest and posttest interventional study used a within-subjects design. Provided toolkits included written instructions to carry out the study. Nurses com...
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Articles Source Type: research

A Study Looking at a Lower Cost Option for Cultural Competence Education
To meet the growing demands in the US healthcare system caused by multiculturalism and the expansion of health inequities, due diligence must be given to testing the efficacy of tools used in teaching nurses to provide culturally competent care. This project assessed the utility of a free US government–developed training module. The team found an improved trend in nurse-patient communication scores and improved willingness to ask for help with cultural issues for the intervention unit. The use of no-cost, publicly available resources may be a cost-effective option for training materials. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Departments: Spotlight on Caring Source Type: research

Today’s Advanced Practice Leader: Value Contribution to Healthcare Systems and Delivery of Accessible, High-Quality Patient Care
This month's column highlights organizational, practice, and patient care advantages to adding advanced practice leaders to health systems' leadership teams and ideal characteristics of effective, executive advanced practice leaders. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Departments: Spotlight on APRN Outcomes and Leadership Source Type: research

Nursing's Staffing Mandate: Build a More Flexible Workforce
The COVID-19 pandemic exhausted the nursing workforce, casting doubt that future supply will meet demand. To preserve their workforces, nursing leaders are offering emotional support to the frontline. Although these efforts are essential, leaders are overlooking an untapped opportunity to safeguard staffing levels: creating a more flexible nursing workforce. In this article, the authors discuss flexible nurse staffing and suggest 4 key opportunities for improvement. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Departments: Spotlight on Nurse Retention Source Type: research

Magnet® and Pathway: Partners for Nursing Excellence
This month's Magnet® Perspectives column examines American Nurses Credentialing Center's Magnet Recognition Program® and Pathway to Excellence® Program as partners for nursing excellence. We explore the differences between the programs, how they complement one another, and how they can be combined to impact a host of key measures, including nurse engagement, interprofessional collaboration, and patient safety. Nursing leaders at 2 dual-designated hospitals share their decision to pursue both credentials and ways in which the combined designation adds value for nurses and the patient care environment. They discuss how th...
Source: JONA: The Journal of Nursing Administration - April 1, 2021 Category: Nursing Tags: Departments: Magnet® Perspectives Source Type: research

Critical Care Nursing: A Key Constraint to COVID-19 Response and Healthcare Now and in the Future
This article discusses the crucial role and dearth of critical care nurses in the United States highlighted during the COVID-19 pandemic. This challenge of sufficient critical care nursing resources existed before the pandemic, but now concern is heightened by the need for such crucial healthcare providers now and in the future. We present strategies to address the gap, as well as challenges inherent in the suggested approaches. The discussion is relevant as nurse leaders adapt to COVID-19 and other novel challenges in the future. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - February 11, 2021 Category: Nursing Tags: Articles Source Type: research